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Rearrangements of the BCL-6 gene in acquired immunodeficiency syndrome-
associated non-Hodgkin's lymphoma: association with diffuse large-cell
subtype
G Gaidano, F Lo Coco, BH Ye, D Shibata, AM Levine, DM Knowles and R Dalla-Favera
Department of Pathology, College of Physicians and Surgeons, Columbia
University, New York, NY 10032.
Acquired immunodeficiency syndrome (AIDS)-associated non-Hodgkin's
lymphomas (AIDS-NHL), a major source of morbidity and mortality among AIDS
patients, are derived from B cells and can be classified into two main
histologic categories, small noncleaved cell lymphoma (SNCCL) and diffuse
large-cell lymphoma (DLCL). DLCL includes two histologic subsets, ie, large
noncleaved cell lymphoma (LNCCL) and large cell- immunoblastic plasmacytoid
lymphoma (LC-IBPL). Several studies have shown that AIDS-SNCCL is
associated with the clonal accumulation of multiple genetic lesions,
including Epstein-Barr virus (EBV) infection, activation of the c-MYC and
RAS oncogenes, as well as inactivation of the p53 tumor suppressor gene at
variable frequencies. On the contrary, the molecular pathogenesis of
AIDS-DLCL is largely obscure, because no genetic lesion other than EBV
infection has been specifically identified in this group. In this study, we
have tested a panel of 40 AIDS-NHL for structural alterations of BCL-6, a
putative proto-oncogene that is frequently altered in DLCL in the
immunocompetent host. Our results show that rearrangements of BCL-6 are
present in 20% of AIDS- DLCL (5 of 24), including 2 of 8 LNCCL and 3 of 16
LC-IBPL, but in no case of AIDS-SNCCL. BCL-6 rearrangements were detected
both in the presence and in the absence of EBV infection of the tumor
clone, but in no case were associated with activation of c-MYC or mutations
of p53. These data identify a novel genetic lesion in AIDS-DLCL and
corroborate the notion that lymphomagenesis in AIDS follows two distinct
molecular pathways that are associated with the development of
histologically distinct types of AIDS-NHL.
Volume 84,
Issue 2,
pp. 397-402,
07/15/1994
Copyright © 1994 by The American Society of Hematology

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